Customer Information
First Name
*
Last Name
*
Company
*
Email
*
Phone
Street Address
City
*
State
*
Zip Code
Application Information
Type of Machining
*
Broaching
Drilling
Hobbing
Milling
Other
Turning
Other Machining Type
Machining Materials (Check all that apply) *
Aluminum
Carbide
Carbon Fiber
Cast Iron
Stainless Steel
Steel
Other
Other Machining Material
Fluid Type
*
Oil
Water-based
What issues are you currently having? (Check all that apply) *
Foaming
Frequent cleaning of coolant ports
Frequent Cleanouts
Frequent Overflows
Tool Life
Pump Life
Tramp Oil
Other
Other Issues
How did you hear about the OLIMIN8R®?
Oberlin Sales Rep
Email
Website
Tradeshow
Other
FOR INTERNAL USE ONLY
REP CODE BOX